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South Carolina rates for HCPCS 28715

Arthrodesis Triple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.31 / $10,148.25 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,619.18 / $18,123.41 / $34,857.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $1,067.22 / $15,856.47
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$105.84 / $105.84 / $105.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.77 / $1,320.53 / $2,067.34
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$237.71 / $270.39 / $395.34
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$166.40 / $189.28 / $276.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00